Overview
The CARE Act monthly reporting during the Active Service phase of the CARE Act requires BHPs to report on what services are currently on the client’s CARE Plan/CARE Agreement and which of those services were provided or not provided during the reporting period. The CARE Act Data Dictionary includes a list of services that DHCS is tracking. Unfortunately, these do not match up 1:1 with CPT/HCPCS codes. CalMHSA has therefore created a method of having a crosswalk in SmartCare to link a CPT or HCPCS code to a CARE Act service type. Then when a user is completing the monthly CARE Act Reporting Document, SmartCare can check the service charge records to determine which CPT/HCPCS were provided to the client and crosswalk them to the CARE Act service types.
CalMHSA deployed an initial crosswalk to all county instances of SmartCare, but a county may have their own custom codes that they want to crosswalk as well. Follow the steps below to add to or modify this crosswalk.
Creating a New Record
- Navigate to the CARE Act Services to CPT Codes list page.
- Click on the Search icon.
- Type in “CARE Act Services” in the search bar.
- Click to select “CARE Act Services to CPT Codes List (My Office)” from the search results.
- Click on the New icon.
- This takes you to the CARE Act Services to CPT Codes Details screen. Select the CPT/HCPCS code you want to use. This field is limited to only those codes that exist in your procedure rates tables.
- This will grey out the CPT/HCPCS code field. All items entered on this page will be related to this CPT/HCPCS code.
- Select a modifier if needed. This field is limited to only those modifiers that exist in your procedure rates tables.
- Note: The HK modifier cannot be selected since HK is not a modifier in the procedure rates table, due to the way the HK modifier is added to claims. For these services, a stored procedure will determine if services should be tracked as ICC rather than TCM for the purposes of CARE Act State Reporting.
- Select the CARE Act Category.
- Select the specific CARE Act Service.
- Select the Service Area.
- Check the Active checkbox.
- Click Insert.
- This will add this association to the CARE Act Category/Service List section. Repeat steps 5-10 until all associations for this CPT/HCPCS code are completed.
- Click Save.
Updating an Existing Record
- Navigate to the CARE Act Services to CPT Codes list page.
- Click on the Search icon.
- Type in “CARE Act Services” in the search bar.
- Click to select “CARE Act Services to CPT Codes List (My Office)” from the search results.
- Select the code you want to update.
- This takes you to the CARE Act Services to CPT Codes Details screen. Select the specific record you want to edit.
- This pushes the information to the top section. Make your updates and click “Modify”.
- Click “Save” to save the changes.
